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She required a mastectomy, after chemotherapy to try to shrink her tumor, and desired reconstructive surgery to restore the breast. Upon contacting her insurance carrier, her reconstructive surgeon, Dr. Todd Wider, learned that her insurance plan, a self-funded plan, refused to cover the reconstructive surgery, and considered it cosmetic.
Specifically, “If the individual’s body surface area and weight of breast tissue removed fall above the 22nd percentile, then the surgery is considered medically reasonable and necessary with ...
A prescription may be required for breast prostheses and mastectomy bras for insurance purposes. [10] Up to 90% of women use a prosthetic after surgery, temporarily or permanently. Over half of these women choose full weight options, while others will opt for more lightweight prosthetic devices.
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In the United States preventive mastectomy is gaining increased acceptance. [15] [16] The decision of famous actresses such as Christina Applegate and Angelina Jolie [13] to undergo preventive mastectomy has given the procedure wider media attention. [15] The trend towards prophylactic mastectomy appears to be less pronounced in Europe [15] and ...
Key takeaways. Breast cancer survivors can still access life insurance, especially after remission, though coverage terms may vary based on individual health history and the time since treatment.
Medicare also does not cover any weight-loss drugs, but it does cover FDA-approved diabetes drugs that have unintentionally become very popular for weight loss. ... Without insurance, weight-loss ...
Most company-provided health insurance policies starting on or after September 23, 2010, and before September 23, 2011, may not set an annual coverage cap lower than $750,000, [153] a lower limit that is raised in stages until 2014, by which time no insurance caps are allowed at all. By 2014, no health insurance, whether sold in the individual ...